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Injury or Illness at Work - Worker's Compensation

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Injury or Illness at Work - Worker's Compensation

The Worker's Compensation Act of Wisconsin provides coverage when the employee is performing service growing out of and incidental to his or her employment, and sustains an injury as a result of that service.

Next Steps

Send signed and dated forms to Human Resources

Both signed and dated forms, along with answers to the supervisor questions, should be sent to Human Resources, Dempsey Hall 328, within 24 hours of the injury.

If need be, fax the paperwork to (920) 424-2021 before sending originals to Human Resources. If it is a work-related death, please contact Human Resources immediately.

If, due to the injury, the chair/supervisor or employee are unable to complete the forms within 24 hours, immediately contact Jodi to inform her of the details of the injury.

Forward all physician return-to-work forms and reports to Human Resources upon receipt

These forms will indicate the date a faculty/staff member may return to work with or without restrictions and must be filed with Human Resources. For each physician visit, a return to work form should be submitted including if the diagnosis is to return to work with no restrictions.

Physician documentation and return to work forms should be submitted to:

Timecard/leave reporting should indicate any lost time due to a work related injury.

If lost time occurs, it is important that the timecard/leave report indicate those days off of work. Jodi will assist with how time should be recorded on the timecard/leave report on a case-by-case basis.

Upon receipt of the injury reports, Human Resources will review for completeness and submit to the Office of Safety and Loss Prevention.

The UW Oshkosh Safety Coordinator will review all injury reports for evaluation of safety practices on campus.

The UW System Worker's Compensation Coordinator will contact the employee injured with details of the claim. Jodi will be the liaison between the Office of Safety and Loss Prevention and the employee. If you should have any questions or concerns regarding claims, please contact Jodi.